Prior Auth Required

96549 - Investigational Unlisted chemotherapy procedure [when specified as insulin

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceInvestigational Unlisted chemotherapy procedure [when specified as insulin
Procedure / Service Description

initiation of prolonged chemotherapy infusion (more than 8 hours), - use of a portable or implantable pump Investigational 96549 Unlisted chemotherapy procedure [when specified as insulin Potential potentiation therapy]

Likely documents
  • Confirm benefit details
  • Submit clinical notes if requested by the plan
Next actions
  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.